ORTHOPEDICS AND TRAUMATOLOGY / CLINICAL RESEARCH
Effect of single-bundle autologous hamstring tendon reconstruction combined with braided thread on joint stability and clinical efficacy in patients with posterior cruciate ligament rupture
More details
Hide details
1
Department of Joints, Dinghai Guanghua Hospital, Zhoushan City, Zhejiang Province, China
These authors had equal contribution to this work
Submission date: 2024-09-24
Final revision date: 2024-11-30
Acceptance date: 2024-12-04
Online publication date: 2025-04-20
Corresponding author
Wenqiao Zhang
Department of Joints
Dinghai Guanghua Hospital
Zhoushan City
Zhejiang Province, China
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Single-bundle autologous hamstring tendon reconstruction is a surgical procedure used primarily in orthopedics. The aim of the study was to investigate the impact of using autologous hamstring tendon single-bundle restoration in conjunction with braided threads on both joint stability and clinical efficacy in patients suffering from posterior cruciate ligament (PCL) rupture.
Material and methods:
In total, 106 patients diagnosed with PCL rupture were randomly assigned to the control group and study group, each group consisting of 53 patients. The control group received autologous hamstring tendon single-bundle reconstruction, whereas the study group received autologous hamstring tendon single-bundle reconstruction together with braided thread treatment. The comparative rates of treatment success and satisfaction, complication occurrence, pre-and post-surgery joint activity indicators, gait parameters, knee joint function, and joint stability were assessed.
Results:
The study group showed a significantly higher rate of excellent and good treatment outcomes compared to the control group (p < 0.05). Twelve months after surgery, the study group showed significantly higher joint activity index, stride length, stride speed, and Rasmussen score compared to the control group.
Conclusions:
The single-bundle reconstruction combined with braided thread has good clinical efficacy in patients with PCL rupture and more effectively improves the patient’s joint stability.
REFERENCES (17)
1.
Zhu B, Dong P, Tang X, et al. Arthroscopic single-tunnel suture bundle fixation for the treatment of tibial insertion fractures of posterior cruciate ligament in adults. Chin J Repar Reconstr Surg 2023; 27: 3503-7.
2.
Liu X, Wen Y, Li B. Comparison of the efficacy of autologous hamstring tendon plus peroneus longus tendon anterior bundle and LARS ligament reconstruction of ruptured posterior cruciate ligament. J Pract Med. 2019; 354: 593-7.
3.
Yuan Z, Tang G, Wu Y, et al. Comparative study of arthroscopic autologous peroneus longus tendon and hamstring tendon reconstruction of anterior cruciate ligament. Chin J Endosc 2021; 27: 83-8.
4.
Li M, Liu Y, Gao S, et al. Early clinical efficacy of new autologous semitendinosus strip graft reconstruction in the treatment of anterior cruciate ligament rupture. Chin J Trauma 2022; 38: 332-9.
5.
Wang X, Han X, Shi X, et al. Early efficacy of posterior cruciate ligament reconstruction using a single bundle of four autogenous semitendinosus tendons and the anterior semitendinosus bundle of the peroneus longus tendon under arthroscopic surgery. Chin J Repar Reconstr Surg 2021; 35: 556-61.
6.
Zhang G, Wang Y. Evaluation of knee scoring criteria. Chin J Surg 2006; 44: 1141-3.
7.
Shao J. Clinical study on Zhang’s homeopathic traction minimally invasive reducer in the treatment of posterolateral tibial plateau fractures. Master thesis. Harbin: Harbin Institute of Technology 2019.
8.
Liu H, Yin H, Yi Y, et al. Effects of different rehabilitation training on balance function in stroke patients: a systematic review and network meta-analysis. Arch Med Sci 2023; 19: 1671-83.
9.
Yang T, Zheng Z, Li Y, et al. Comparative study on the efficacy of posterior cruciate ligament reconstruction using arthroscopic posterior triangulation technique and anterior and posterior approaches. Chin J Repar Reconstr Surg 2021; 35: 823-8.
10.
Li B, Zhang L, Xia Z, et al. Analysis of the clinical efficacy of posterior cruciate ligament reconstruction with autogenous tendon under knee arthroscopy. Chin J Clin Anat 2022; 40: 466-70.
11.
Tinga S, Kim SE, Banks SA, et al. Femorotibial joint kinematics in nine dogs treated with lateral suture stabilization for complete cranial cruciate ligament rupture. J Am Vet Med Assoc 2021; 258: 493-501.
12.
McDonald LK, Cosic F, Joseph S. The use of the ligament augmentation and reconstruction system for posterior cruciate ligament reconstruction in isolated and multiligament knee injuries: a systematic review. Knee 2021; 30: 322-36.
13.
Saragaglia D, Francony F, Gaillot J, et al. Posterior cruciate ligament reconstruction for chronic lesions: clinical experience with hamstring versus ligament advanced reinforcement system as graft. Int Orthop 2020; 44: 179-85.
14.
Zhang L, Li B. A clinical comparative study on whether to add high-strength braided wires to posterior cruciate ligament grafts for single-bundle reconstruction of autologous hamstring tendons. China Comprehensive Clin 2020; 36: 71-5.
15.
Hu W, Yan X. Effect of posterior cruciate ligament preserving knee prosthesis on gait and lower extremity venous return in varus knee arthroplasty. J Clin Rehabil Tissue Eng Res 2023; 27: 3503-7.
16.
He L, Liao X, Li Y, et al. Arthroscopic repair of multiple ligament injuries after knee joint dislocation: a three-dimensional gait analysis. Chin J Tissue Eng Res 2022; 26: 4205-10.
17.
Bai X, Wang Y, Che Q, et al. One-stage reconstructing the anterior and posterior cruciate ligaments injuries with autologous hamstring tendon using tight Rope devices all inside. Chin J Orthop 2018, 38: 1045-54.